NPI 1669063798 · live from the CMS NPI Registry
Breezy Mendoza NP LLC
Registered Nurse, Registered Nurse First Assistant in Glendale, AZ. National Provider Identifier 1669063798, active.
NPI record
| NPI | 1669063798 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Registered Nurse First Assistant 163WR0006X |
| Practice location | 5555 W Thunderbird Rd, Glendale, AZ 85306 |
| Practice phone | 480-257-6383 |
| Mailing address | 10031 W Via Montoya Dr, Peoria, AZ 85383 |
| Enumerated | February 1, 2021 |
| Last updated | February 1, 2021 |
| Authorized official | Breezy Mendoza, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | — |
| Registered Nurse, Registered Nurse First Assistant primary | 163WR0006X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.